11:30 a.m. - 12:15 p.m.
Implant Esthetics: Evidence-Based Concepts and Protocols to Optimize Treatment Outcomes

Sonia Leziy, D.D.S., F.S.C.D.S., North Vancouver, Canada

Anterior restoration with implants demands an understanding of pre-treatment conditions as well as the impact of surgical and restorative procedures on tissue architecture. The predictability of the esthetic outcome is considered controversial, especially in cases involving immediate implant placement and restoration and/or adjacent implant placement. An understanding of how to enhance tissue form is critical to achieve a highly successful esthetic outcome, results are affected by many factors in the surgical phase of treatment, including implant design, hard and soft tissue augmentation materials and techniques, while refining of the transmucosal tissue volume and form is finalized in the provisionalization phase of therapy. This session will illustrate the impact of the periodontist's decisions and surgical techniques on esthetics as well as integration success, and the impact on the restorative outcome as viewed by the restoring dentist.

At the conclusion of this session, the attendee should be able to:

12:15 p.m. - 1:45 p.m.

Refreshment Break with Exhibitors
(light refreshments will be provided)
Sponsored by:

1:00 p.m. - 5:00 p.m.

Concurrent Session: Digital Realities for Dental Laboratories Workshop

CE Credits: 4

Moderator: Frank Tuminelli, D.M.D., Great Neck, New York

The prosthodontic community of specialists and generalists requires dental technology that offers the advantages of innovation and predictability. The ACP, together with Spectrum/Dialogue, presents this forum to address current technology opportunities for laboratories of one to hundreds of technicians. This workshop offers the latest insights in digital planning, abutment design and manufacture, fabrication of copings, veneers and monolithic crowns, as well as complex frameworks and implant bars. Participants will better match emerging technological capacity with the current realities of prosthodontic practice.
Presented by:
      

1:00 p.m. - 1:45 p.m.
Recreating Nature: The Harmony of Function and Esthetics with Digital Technology

Lee Culp, C.D.T.

 

The attainment of perfection in the duplication of natural dentition is the ultimate achievement in contemporary esthetic dentistry. Understanding the complex relationship between tooth form and function, and how they relate and combine to create the esthetics of natural dentition, is the basis of study for achieving predictable success in oral reconstruction.

 

As patients become more educated to modern dentistry’s advances, their motivation and desire for natural esthetic, restorative dentistry is increasing at a dramatic rate. Dentists are now fulfilling these patient demands, but many are concerned only with the visual impact of the smile, with total disregard to proper occlusion, envelope of function, and phonetics, resulting in broken restorations, speech problems, and patient dissatisfaction.

 

The newest technology to enter dentistry is CAD-CAM Computed Aided Design/Computed Aided Manufacturing. Based on technology adopted from aerospace/automotive and even the watch making industry, this technology is accepted due to its advantage of increased speed, accuracy and efficiency. Today’s CAD-CAM systems are being used to design and manufacture metal, alumina, and zirconia frameworks, as well as all ceramic full contour crowns, inlays, and veneers that may be stronger, fit better, and are more esthetic than restorations fabricated using traditional methods.

 

 As Dentistry evolves into the digital world, the successful incorporation of computerization and new acquisition and manufacturing technologies will continue to provide more efficient methods of restoration fabrication and communication, while at the same time retaining the individual creativity and artistry of the skilled Dentist and Technician. The utilization of new technology will only enhance the close cooperation and working relationship of the Dentist/Technician team. The evolution from Hand design to Digital design and the application of Diagnostic 3-D previews, along with provisional restorations, and their digital replicas to guide the restorative team in the creation of Cad-Cam restorations will be presented, as well as the latest developments in intra-oral laser scanning, materials and computer milling/printing technology.

 

This lecture will offer participants a unique insight into the replication of natural esthetics using the Digital Technology while focusing on proper function and occlusal harmony. You will learn a format for achieving that often-elusive goal of pleasing the patient, dentist, and ceramist with creative digital ceramic artistry.

At the conclusion of this session, the attendee should be able to:

• Identify the communication possibilities with digital dentistry, and the creation of the digital patient.
• Understand differences in scanning technology.
• Identify the possibilities of prosthetics creation through milling/printing technologies. 

1:45 p.m. - 2:30 p.m.

Restoring Maxillary Anterior Implants: Appropriate Steps and Design Principles to Achieve the Highest Esthetic Results

Brahm Miller, D.D.S., F.R.C.D. (C), University of British Columbia

 

High level implant esthetics requires precise steps from diagnosis through to the restorative phase. These steps are not exclusive of each other. They are deliberate and require a clear understanding of what is possible and the skill required to carryout each procedure. Each small advancement will help with the esthetics of the initial result as well as the long term stability of the treatment. Arguably provisionalization and abutment design are two of the most important stages and possibly the most over looked. This presentation will focus specifically on these two items of treatment, illustrating how closely related they are to the surgical phase as well as the final restoration and how important it is for the technician to be intently involved.

At the conclusion of this session, attendees should be able to:

• Understand the relationship between the preciseness the surgical aspect and the restorative outcome.
• Describe the uniqueness of implant provisionalization in terms of communicating essential information to the technician.
• Relate design principles of implant provisionals, abutments and crowns in terms of virtual digital preparation to plan for high level esthetics.

2:30 p.m. - 3:15 p.m.

The Art, Science and Digital Dentistry in Modern Implant Dentistry

Dominico Cascione, C.D.T., B.S.

Implant-supported fixed restoration is an appropriate treatment choice for patients with inadequate bone volume. Computer-aided design/computer aided manufacturing (CAD/CAM) technology has broadened the scope and application for this treatment option. A milled titanium bar retaining individual all-ceramic zirconium oxide crowns or metal ceramic crowns, with composite resin replicating gingival tissues, is recommended as an acceptable variation for this type of prosthesis. An alternative method for fabricating a mandibular and maxillary implant-supported fixed restoration using CAD/CAM technology.

At the conclusion of this session, attendees should be able to:

• Describe principles and techniques, in order to obtain predictable results on challenging implant cases.
• Describe tissue management criteria on the implant restoration for noninvasive pontic site development.
• Recognize the importance of proper diagnosis, treatment planning and communication.

3:15 p.m. - 4:00 p.m.

Digital Implant Dentistry- New Technology for Teeth and Implants
Frank Higginbottom, D.D.S., Baylor University Medical Center

Dentists for many years have performed very well using the analog world. Years ago dentistry began going digital with a computer at the font desk, then in the operatory and digital records. Digital radiographs were a breakthrough in technology. This modality is still only 30-40 percent saturation of practices of today. Today dentists have the option of incorporating digital technology to actually make treating our patients better. From digital radiographs, digital records keeping, to cone beam CTs. We have so much more information for diagnosis and treatment planning today. Dentists can perform digital planning for implants, digital placement, digital impressions and CAD/CAM restorations. The technologies have come to blend very well and will only get better. We need to embrace the technology or become victims of obsolescence.

At the conclusion of this session, attendees should be able to:

• Understand cone beam CT technology and digital implant planning.
• Understand local digital guide fabrication and guided surgery.
• Understand digital impressions and CAD/CAM restorations.
  

4:00 p.m. - 5:00 p.m.

Metal-Free Prosthodontics: The Power of Zirconia
Michael Moscovitch, D.D.S., Boston University

Recent developments in the esthetic properties of dental Zirconia (3 YTZP) materials has led to increased uses of this ceramic in place of metal in dental restorations. This presentation will explore the use of dental Zirconia in tooth and implant supported crowns and bridges, as well as implant abutments. The biomechanical properties of Zirconia allows for the design of restorations with minimal or no veneer of feldspathic ceramic. The role of Zirconia as an alternative to metal will be clinically demonstrated. The technological processes in the production of these restorations will be discussed with special emphasis on the process of digital design and digitally controlled manufacturing. The expanded use of dental Zirconia is creating a paradigm shift in esthetic and functional possibilities in fixed prosthodontics.
At the conclusion of this session, attendees should be able to:

• Understand the classification and properties of dental ceramics and particularly Dental Zirconia, as they relate to dental restorations.
• Understand the future of Zirconia as an alternative to metal in dental restorations.
• Extend understanding of digital restorative technologies.